Permit CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00547
VOili DEVELOPMENT Tigard, SO (503) 639 -4171 SERVICES DATE ISSUED: 9/18/00
- 13125 SW Hall
PARCEL: 2S10100 -00700
SITE ADDRESS: 08200 SW HUNZIKER ST
SUBDIVISION: FOUNDRY INDUSTRIAL PARK ZONING: I -L
BLOCK: LOT : JURISDICTION: TIG
Project Description: 19 branch circuits
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
• LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
• SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 18 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
NORTHWEST DEMOLITION TUALATIN ELECTRIC
PO BOX 930 PO BOX 655
WILSONVILLE, OR 97070 WILSONVILLE, OR 97070
Phone: 503 - 638 -6900 Phone: 682 -2955
Reg #: LIC 00065650
SUP 3483S
ELE 3 -26C
FEES Required Inspections
Type By Date Amount Receipt
Ceiling Cover
PRMT CTR 9/18/00 $157.20 2720000000( Wall Cover
5PCT CTR 9/18/00 $12..58 2720000000( Elect'I Final
Total $169.78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987. —
PERMITTEE'S SIGNATURE W ISSUED BY: 4
OW INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
07/06/00 THU 14:59 FAX 503 598 1960 CITY OF TIGARD 0 002
CITY OF TIGARD Plan Check #
131 SW HALL BLVD. Electrical Permit Application
Rec'dBy X;
TIGARD OR 97223 Date Recd 9,49/
Phone (503) 639 -4171, x304 eU.,f .2, - Date to P.E.
Date to DST
Inspection (503) 639 -4175 Print of Type / Permit # �LCZc7rn -6osy
Fax (503) 598 -1960 incomplete or illegible will not be accepted Called
1. Job Address: • 4.. Complete Fee Schedule Below: I
Name of Development 1VC1 e..s4 V T .w Ott �1C b \ Number of Inspections per permit allowed
Name (or name of business) i , Service included: Items Cost Sum' T
Address �, l t.x (1'Zr F'4� eQ i 4a. Residential - per unit •
1000 sq. ft or less $ 117.75 4
City /State /Zip N. qu 1 Q R Each additional 500 sq. ft. or
Ti portion thereof $ 26!$5 1
Commercial t Residential ❑ Limited Enemy $ 60.00
Each Manufd Home or Modular
2a. Con tractor installation only: Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuance, applicants must provide contractor license 4b. Services of Feeders
information for COT da base). 1 Installation, alteration, or relocation
Electrical Contract f.° n EV, G 200 amps or less 5 64.25 2
Address pc, , c,)( t co5`.� 201 amps to 400 amps 5 85.50 2
City 01�nV•\Vc, State Zip oc)O~lb 401 amps to 600 amps 5 128.50 2
601 amps to 1000 amps S 192.50 2
Phone No. _� - r�qS 7 Over 1000 amps or volts $ 363.75 2 .
Job No. 6"Z'1 )-% Reconnect only $ 53.50 2
Elec. Cont. Lice. No. C. • Exp.Date 10 O i :4c. Temporary Services or Feeders
OR State CCB Reg. No. t)SbSO Exp.Date "l oa. Installation, alteration, or relocation
COT Business Tax or Metro No. u ate 200 amps or' less $ 53.50 2
201 amps to 400 amps • $ 80.25 2
/7)1,4,..,/ ,/ 4 401 amps to 600 amps $ 107.00 2
Signature of Supr. Elec'n Over 800 amps to 1000 volts,
•
see "b" above.
License No. J E _ Exp.Date \6( CS I
4d. Branch Circuits
Phone No. _ a�t New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee. •
Print Owner's Name Each branch circuit $ 5.35 2
Address • b) The fee for branch circuits
without purchase of service 5-
(]
City State Zip or feeder fee. � -
Phone No. • First branch circuit I •.$ 37.50 v
Each additional branch circuit - Va .- $ / / 0 `7
The installation is being made on property I own which is not 4e. Miscellaneous 4,./. (!
intended for sale, lease or rent. (Service or feeder not included)
•
Each pump or irrigation circle $ 42.75
Owner's Signature Each sign oroutline lighting $ 42.75 . •
Signal circuit(s) or a limited energy
panel,- alteration or extension • $ 60.00
3. Plan Review section (if required):*
Minor Labels (10) $ -1f;•7 B9
4f. Each additional inspection over lL�11�0
Please check appropriate item and enter fee in section 5B. p
• 4 or more residential units in one structure the allowable in any of the above
Per inspection $ 50.00
Service and feeder 225 amps or more
Per hour $ 50.00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as
described in N.E.C. Chapter 5 5. Fees: /57
5a. Enter total of above fees S . 1 r� 5 �
a Submit 2 sets of plans with application where any of the above apply. ti 40 N" Surcharge ( 6 X total fees) $ (19'
Not required for temporary construction services. Subtotal \• $ - , •
56. Enter 25% of line 5a for
NOTICE Plan Review if required (Sec. 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # • /� 7g
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $,_V-PA f 1/ 14
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